David J Boucher, PT

NPI #1417901190 in E Providence, Rhode Island

Provider Information

NPI Number: 1417901190
Entity Type: Individual
Name: David J Boucher, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1001 WATERMAN AVE
City: E Providence
State: Rhode Island
ZIP Code: 02914-1314
Phone: (401) 434-1773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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Paula Silva Mspt	Physical Therapist	E Providence	AI Deep Dive

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